Twese tuzi ko kuvura kanseri, cyangwa 'chimiotherapie' nk'uko tubyita, atari ikintu cyoroshye gukora. Ni ikibazo gikomeye ku mubiri ndetse no mu bwonko. Kimwe mu bintu bikomeye kandi bibabaza cyane bizanwa n'ubu buvuzi ni isesemi no kuruka. Uyu munsi rero tugiye kuvuga ku muti wihariye ushobora gukumira ubu burwayi mbere yuko bubaho. Uwo ni Rolapitant .
Ni ubuhe bwoko bw'umuti Rolapitant ikora?
Muri make, Rolapitant ni umuti utangwa kugira ngo wirinde isesemi no kuruka bishobora kubaho mu gihe cy'imiti ivura indwara ya kanseri. Ubuza bimwe mu bimenyetso bitera isesemi no kuruka mu mubiri wacu kugera mu bwonko. Ubwo bwoko bw'imiti twita "antiemetics".
Uyu muti uboneka muri Sri Lanka ku izina rya `Varubi`. Ariko, ushobora no gukoreshwa mu zindi mpamvu, bityo niba ufite ikibazo, baza muganga wawe.
Wibuke ko uyu atari umuti wo gufata iyo usanzwe ufite isesemi. Utangwa kugira ngo wirinde isesemi .
Ibintu ugomba kubwira muganga wawe mbere yo gufata imiti
Mbere yo kuguha ibinini bya Rolapitant, muganga wawe azashaka kumenya amateka y’ubuzima bwawe. Menya neza ko umubwiye ibi bintu by’umwihariko.
- Niba ufite indwara y'umwijima .
- Niba wigeze kugira ikibazo cyo kugira ubwivumbure kuri Rolapitant cyangwa undi muti, ibiryo, cyangwa irangi.
- Niba utwite cyangwa ugerageza gutwita .
- Niba uri umubyeyi wonsa .
Ashingiye kuri aya makuru, muganga ni we uzagena niba uyu muti ukubereye cyangwa utakubereye.
Nigute nkwiye gukoresha uyu muti?
Uburyo ukoresha uyu muti ni ingenzi cyane.
- Ugomba gufata iki ginini n'ikirahure cy'amazi .
- Ubusanzwe, ugomba kubinywa isaha imwe mbere yuko utangira kuvurwa na chemotherapy .
- Ntacyo bitwaye niba uyifata mbere cyangwa nyuma yo kurya.
- Koresha gusa nk'uko muganga wawe yabigutegetse, mu gipimo cyanditswe na muganga . Ntukigere ufata ibirenze urugero rwanditswe na muganga.
Ugomba kwitonda cyane mu gihe uha abana uyu muti, bityo uganire na muganga wawe kuri ibyo.
Wakora iki niba ufashe imiti myinshi?
Niba ubona ko wafashe imiti myinshi cyane, jya ku bitaro bikuru byita ku butabazi bwihuse (ETU). Cyangwa hamagara ikigo cy’igihugu gishinzwe amakuru ku burozi mu bitaro by’igihugu bya Colombo kugira ngo bakugire inama.
Uyu muti ni uwawe gusa. Ntukawusangire n'undi muntu uwo ari we wese ku mpamvu iyo ari yo yose.
Bite se nintakaza dose?
Niba wibagiwe gufata umuti wawe, fata vuba ubyibuka. Ariko ntugafate doze ebyiri cyangwa nyinshi icyarimwe.
Indi miti ishobora kugira ingaruka ku mikorere ya Rolapitant (Imikorere y'imiti)
Rolapitant ni umuti ushobora kugira ingaruka ku yindi miti, bityo rero ni ngombwa cyane kubwira muganga wawe imiti yose ufata (harimo na vitamine n'imiti y'ibimera).
| Ntugafate Rolapitant hamwe n'uyu muti. | |
|---|---|
| Pimozide | Thioridazine |
| Ibibazo bishobora no kubaho kuri iyi miti (bimenyesha muganga wawe). | |
| Imiti imwe n'imwe ivura umuvuduko w'amaraso n'indwara z'umutima | Imiti imwe n'imwe ivura indwara zo mu mutwe n'ihungabana |
| Imiti ivura indwara zo mu mutwe (urugero: carbamazepine, phenobarbital, phenytoin) | Imiti ibuza amaraso kuzura (urugero: warfarin, dabigatran) |
| Rifampine, Rifapentine | Methotrexate, Irinotecan, Topotecan (imiti ya kanseri) |
| Apalutamide, Enzalutamide | Cyclosporine, Sirolimus, Digoxin |
| Rosuvastatin (umuti ukomoka kuri cholesterol) | Dextromethorphan (umuti w'inkorora) |
| Umuti ugabanya ububabare mu maraso witwa Opioid | Indi miti myinshi ... |
Uru rutonde ntirwuzuye. Bwira muganga wawe imiti yose ufata, niba unywa itabi, cyangwa niba unywa inzoga.
Ingaruka mbi zishobora guterwa n'imiti
Kimwe n'indi miti yose, Rolapitant ishobora gutera ingaruka zimwe na zimwe. Zimwe muri zo zishobora kuba zikomeye, bityo ni ngombwa kuzimenya.
| Ingaruka mbi | Ni iki cyakorwa? |
|---|---|
| Ibintu ugomba kubwira muganga wawe ako kanya | |
| Ubushobozi bwo kugira ubwivumbure - Kuryarya uruhu, uburyaryate - Kubyimba mu maso, iminwa, ururimi, umuhogo (bishobora gutera ikibazo cyo guhumeka) | Shaka inama kwa muganga ako kanya. Ibi bishobora kuba ari ikibazo cyihutirwa. |
| Ibintu ubusanzwe bitari bikomeye, ariko bigomba kumenyeshwa muganga niba bikomeje | |
| Kuribwa umutwe/kuzunguza | Niba ibi bikomeje cyangwa bikakubangamira, bwira muganga wawe mu gihe ugiye kwa muganga gitaha. |
| Inkovu | |
| Kubura ubushake bwo kurya | |
| Kubabara mu gifu cyangwa kubabara mu nda | |
Niba uhuye n'ubundi bubabare butavuzwe muri uru rutonde, vugana na muganga wawe kuri byo.
Ni gute ubibika kandi ukajugunya umuti?
- Bika ahantu abana n'amatungo batagera .
- Bika ahantu hari ubushyuhe bw'icyumba (hagati ya dogere selisiyusi 20-25).
- Ntuzigere ukoresha imiti yarengeje igihe . Ijugunye neza. Ganira na muganga wawe uburyo bwiza bwo kuyijugunya.
Ubutumwa bwo kujyana mu rugo
- Rolapitant ni umuti utangwa mu rwego rwo gukumira isesemi no kuruka biterwa na chemotherapy, ntabwo ari umuti utangwa mu gihe bibaye.
- Buri gihe fata uyu muti nk'uko muganga wawe yabigutegetse, akenshi isaha imwe mbere y'uko uhabwa imiti ya chimiotherapie.
- Menya neza ko wabwiye muganga wawe indi miti yose, vitamine, n'inyongeramusaruro ufata.
- Niba ugize ibimenyetso by'ubwivumbure nko kubyimba mu maso no kurwara uduheri ku ruhu, shaka ubufasha bwa muganga byihutirwa.
- Ntuzigere usangiza abandi imiti wahawe n'abandi.
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